Name *

Preferred name

First Name

Last Name

Phone *

(###)

###

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Are you 18 years of age or older? *

You must be 18 or older to get tattooed. I do not tattoo minors

Yes

No, but I plan to book the tattoo after I turn 18

Is this your first tattoo? *

Yes

No

To schedule an appointment, you understand that you are required to pay a $150(+tax) non-refundable non-transferable booking fee, which goes towards the cost of the tattoo. Without a booking fee, an appointment is not officially booked. *

I understand

A 48 hour notice is required for rescheduling your appointment and for your booking fee/deposit to carry over. If you must cancel or reschedule, you agree to notify as soon as you can via email only. If you cancel or fail to notify me you are also aware you may loose your booking fee/deposit. *

A booking fee will follow you up to 2 reschedules as long as there is proper notice.

I understand

My hourly rate is $175 a hour for large projects, and smaller projects will be priced by the piece. I have a $300 minimum for tattoos. I do not tattoo longer than roughly 5 hours at a time please expect the possibility of sessions if you are inquiring about a bigger piece. *

I understand

You recognize that booking is closed until 7/12/25, and I will not be actively replying to submissions until after the date stated above *

I understand